Employee Information Fields Used for ACA
There are three required fields for accurate Affordable Care Act (ACA) Reporting. Employees must have all three fields populated correctly:
- ACA Profile – defines full time/part time ACA status
- Benefit Profile – defines eligibility (Series 1 Codes on Form 1095-C, line 14)
- Benefit Plan – defines coverage (Series 2 Codes on Form 1095-C, line 16)
The ACA widget(s) may not be in place on the Employee’s Information profile by default. To add the ACA widgets, click the Edit Tabs link to edit the widgets and drag the desired ACA options to the tab of your choice. You can also create a separate ACA tab, as shown in the example below. The ACA Timeline widget is where the ACA Profile will be assigned, so be sure to include it.
Widget placement on the Employee Information page updates the page layout for ALL employees in a company simultaneously. Assignment of the ACA Profile is done on a per employee basis, or by using the mass edit option, shown below.
ACA Profile
ACA profiles have been created based on your chosen parameters.
You can assign an ACA Profile individually for employees under My Employees > Employee Information (ACA Tab) or via mass edit under My Employees > Employee Maintenance > Mass Edit.
Benefit Profile
Benefit profiles tell the system when an employee is eligible for coverage. This is required whether they waive or enroll for benefits.
My Employees > Employee Information (under Profiles)
Press “+” sign on the right and use drop down menu to select Eligible profile and enter the benefit eligibility date.
Press save when complete.
Note: If an employee loses eligibility, you must also update the benefit profile to be blank, and enter the date the employee is no longer eligible for benefits.
This employee was eligible starting on 2/01/2015 and ineligible on 10/01/2016.
Benefit Plan
Benefit plans tell the system when an employee was actually covered (or waived).
My Employees > Employee HR Maintenance > Benefits > Benefit Plans will show a listing of all benefit plans tied to employees.
Note: Ensure coverage days truly reflect beginning and ending coverages, especially when terminating an employee.